Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,511.89 / $3,981.07	Professional		$1,949.84	$2,511.89	$3,981.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $8,511.38	Facility		$5,248.07	$5,248.07	$8,511.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,786.30 / $5,754.40	Professional		$3,890.45	$4,786.30	$5,754.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $12,022.64 / $25,703.96	Facility		$3,019.95	$12,022.64	$25,703.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $7,413.10 / $9,772.37	Professional		$2,187.76	$7,413.10	$9,772.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,168.69 / $6,165.95	Facility		$2,570.40	$4,168.69	$6,165.95
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,128.61 / $6,165.95	Professional		$4,677.35	$5,128.61	$6,165.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,128.61 / $20,892.96	Facility		$2,884.03	$5,128.61	$20,892.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,019.95 / $5,754.40	Professional		$2,187.76	$3,019.95	$5,754.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $3,467.37	Professional		$54.95	$70.79	$3,467.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $7,762.47 / $12,302.69	Professional		$5,248.07	$7,762.47	$12,302.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $10,232.93 / $22,387.21	Facility		$3,019.95	$10,232.93	$22,387.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $4,365.16 / $26,302.68	Professional		$2,187.76	$4,365.16	$26,302.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,951.21 / $6,456.54	Facility		$2,344.23	$2,951.21	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,570.40 / $4,265.80	Professional		$1,698.24	$2,570.40	$4,265.80